Quick answers
- Where is Marshall Manor West?
- 207 W Merritt St, Marshall, TX 75670, in Harrison County, Texas.
- What is the phone number of Marshall Manor West?
- (903) 938-3793, as listed by Medicare (CMS).
- What is the Medicare star rating of Marshall Manor West?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Marshall Manor West been fined?
- Medicare lists 1 fine totaling $13,995.
- What did inspectors find at Marshall Manor West?
- In its last three inspection cycles (September 27, 2023 to February 4, 2026), Medicare lists 31 health citations; the most serious was level J. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (September 27, 2023 to February 4, 2026), Marshall Manor West had 31 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $13,995 in total (1 fine, the latest on October 22, 2025). Nurse staffing is 4.43 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: February 4, 2026 — 14 health citations
Inspections in this cycle: October 22, 2025 (complaint investigation); February 4, 2026 (standard health inspection).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0690 Level G
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 12 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0925 Level F
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0800 Level E
“Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.”
F0802 Level E
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
F0908 Level E
“Keep all essential equipment working safely.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0578 Level D
“Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0694 Level D
“Provide for the safe, appropriate administration of IV fluids for a resident when needed.”
F0761 Level D
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
Previous cycle: November 6, 2024 — 8 health citations
Inspections in this cycle: November 6, 2024 (standard health inspection).
Show 8 citations (levels A to F, no actual harm)
F0803 Level F
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0813 Level D
“Have a policy regarding use and storage of foods brought to residents by family and other visitors.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: September 27, 2023 — 9 health citations
Inspections in this cycle: September 27, 2023 (standard health inspection); July 31, 2024 (complaint investigation).
Show 9 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (8)
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0345 Level B
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
Fines and payment denials
Total fines over about the last three years: $13,995 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| October 22, 2025 | Fine | $13,995 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.31 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.27 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.85 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 4.43 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.52 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.29 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 30.9% | 50.8% | 45.3% |
| Administrators who left in the last year | 0.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 14 nursing homes: Caring Healthcare Group.
Legal business name: Winnie-Stowell Hospital District.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Winnie-Stowell Hospital District | Management company (operational or managerial control) | NOT APPLICABLE | July 22, 2014 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 118 |
| Average residents per day | 51.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – hospital district |
| Group or chain (affiliated entity) | Caring Healthcare Group |
| Legal business name | Winnie-Stowell Hospital District |
| First approved by Medicare/Medicaid | 1990-04-26 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 207 W Merritt St, Marshall, TX 75670 |
| County | Harrison County |
| State | Texas |
| Phone | (903) 938‑3793 |
| CMS Certification Number | 455879 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Marshall Manor Nursing & Rehabilitation Center0.1 mi · Marshall, TX · 4 of 5 stars
- Heritage House of Marshall Health & Rehabilitation4.2 mi · Marshall, TX · 2 of 5 stars
- Avir at Jefferson16 mi · Jefferson, TX · 1 of 5 stars
- Whispering Pines Lodge20 mi · Longview, TX · 1 of 5 stars
- Treviso Transitional Care20 mi · Longview, TX · 1 of 5 stars
Nearest hospital emergency rooms
- Longview Regional Medical Center21 mi · Longview, TX · Acute Care Hospital
- CHRISTUS Good Shepherd Medical Center21 mi · Longview, TX · Acute Care Hospital
- UT Health East Texas Carthage Hospital25 mi · Carthage, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13